Healthcare Provider Details

I. General information

NPI: 1043126394
Provider Name (Legal Business Name): CHRISTOPHER IAN MILLER DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5590 W CHANDLER BLVD STE 1
CHANDLER AZ
85226-3744
US

IV. Provider business mailing address

70 SCIMITAR POINT N.W.
CALGARY ALBERTA
T3L2B3
CA

V. Phone/Fax

Practice location:
  • Phone: 480-613-7977
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberD012766
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: